Contact Information:

Provider/Facility Name:

Experian Client Name:

Experian Client ID:

Contact Name:

Contact Email:

Contact Telephone:

Please do not provide login information that currently is, or will be, utilized onsite. The username/login and password provided below should be for your use via your Experian Health account only.
The username and/or profile should not reflect the information of Experian Health, nor an Experian Health Employee.  If you have any questions, please contact us at csenrollment@experianhealth.com and we will be happy to assist you.
 

Payer Information:

Payer Name:

  Please Select AARP Affinity Health Plan BCBS LA BCBS MS BCBS RI BCBS TN BCCA Claim Status BS CA Capitol District Physicians Health CareSource Health Cigna Community Care of OK Connecticare CoreSource Dakota Care Essence Healthcare FL Medicaid GEHA Health Alliance Plan Health Net MediCal/Molina/National Humana MDWise Hoosier Alliance Medi-Cal Medica Marketplace Eligibility Molina Batch – Claim Status Molina Healthcare Molina-HealthNet Medi-Cal New Mexico Medicaid North Dakota Medicaid Partnership Healthplan of California Presbyterian Health Plan TRICARE Tufts Health Plan UMR Eligibility UnitedHealthcare VIVA Health and VIVA Health Medicare Wellcare Western Health Advantage

Payer Web Address:

Username (Login):

Password:

Email address associated with username/login provided:

Challenge questions used for account setup: